Table 2.
Numbers of reports and RORs of cardiac adverse events related to pembrolizumab
| Variable | Pembrolizumab | Other drugs | Rate (%) | ROR | 95% CI | P-value | ||
|---|---|---|---|---|---|---|---|---|
| Cases (n) | Non-cases (n) | Cases (n) | Non-cases (n) | |||||
| Myocarditis | 67 | 15,239 | 1,568 | 2,005,033 | 0.44 | 5.62 | 4.40–7.18 | < 0.001 |
| Cardiac failure | 50 | 15,256 | 11,593 | 1,995,008 | 0.33 | 0.56 | 0.43–0.74 | < 0.001 |
| Immune-mediated myocarditis | 41 | 15,265 | 108 | 2,006,493 | 0.27 | 49.90 | 34.82–71.52 | < 0.001 |
| Pericardial effusion | 38 | 15,268 | 1,136 | 2,005,465 | 0.25 | 4.39 | 3.18–6.07 | < 0.001 |
| Cardiac tamponade | 25 | 15,281 | 596 | 2,006,005 | 0.16 | 5.51 | 3.69–8.22 | < 0.001 |
| Atrial fibrillation | 25 | 15,281 | 3,195 | 2,003,406 | 0.16 | 1.03 | 0.70–1.52 | 0.839 |
| Cardiac arrest | 17 | 15,289 | 3,451 | 2,003,150 | 0.11 | 0.65 | 0.40–1.04 | 0.077 |
| Myocardial infarction | 14 | 15,292 | 2,790 | 2,003,811 | 0.09 | 0.66 | 0.39–1.11 | 0.126 |
| Hypertension | 12 | 15,294 | 5,280 | 2,001,321 | 0.08 | 0.30 | 0.17–0.52 | < 0.001 |
| Pericarditis | 12 | 15,294 | 747 | 2,005,854 | 0.08 | 2.11 | 1.19–3.73 | 0.018 |
| Cardio-respiratory arrest | 11 | 15,295 | 3,491 | 2,003,110 | 0.07 | 0.41 | 0.23–0.75 | 0.001 |
| Cardiomyopathy | 10 | 15,296 | 1,378 | 2,005,223 | 0.07 | 0.95 | 0.51–1.77 | 1.000 |
| Arrhythmia | 10 | 15,296 | 2,539 | 2,004,062 | 0.07 | 0.52 | 0.28–0.96 | 0.029 |
| Acute myocardial infarction | 9 | 15,297 | 2,251 | 2,004,350 | 0.06 | 0.52 | 0.27–1.01 | 0.051 |
| Stress cardiomyopathy | 9 | 15,297 | 849 | 2,005,752 | 0.06 | 1.39 | 0.72–2.68 | 0.318 |
| Ventricular tachycardia | 8 | 15,298 | 2,242 | 2,004,359 | 0.05 | 0.47 | 0.23–0.94 | 0.027 |
| Cardiac failure congestive | 8 | 15,298 | 2,898 | 2,003,703 | 0.05 | 0.36 | 0.18–0.72 | 0.001 |
| Blood pressure decreased | 8 | 15,298 | 12,746 | 1,993,855 | 0.05 | 0.082 | 0.04–0.16 | < 0.001 |
| Cardiac failure acute | 7 | 15,299 | 2,138 | 2,004,463 | 0.05 | 0.43 | 0.20–0.90 | 0.017 |
| Hypotension | 7 | 15,299 | 4,233 | 2,002,368 | 0.05 | 0.22 | 0.10–0.45 | < 0.001 |
| Pericarditis malignant | 6 | 15,300 | 20 | 2,006,581 | 0.04 | 39.34 | 15.80–97.99 | < 0.001 |
| Angina pectoris | 5 | 15,301 | 2,059 | 2,004,542 | 0.03 | 0.32 | 0.13–0.77 | 0.003 |
“Cases” indicates the number of reported cases of cardiac adverse events. ROR: reporting odds ratio; 95%CI: 95% confidence interval. Italicized P-values represent statistically significant results. We obtained data for each type of cardiac adverse event showing more than five reports. All analysed data were obtained from the Japanese Adverse Drug Event Report database